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Journal of Experimental Neurology
ISSN: 2692-2819
Volume 6, Issue 2, p64-110
Articles published in this issue are Open Access and licensed under Creative Commons Attribution License (CC BY NC) where the readers can reuse, download, distribute the article in whole or part by mentioning proper credits to the authors.
Atypical Presentation of NMDA Receptor Encephalitis in a 4-year-old Male: A Case Report of Successful Treatment with Rituximab and Tetrabenazine
N-methyl-D-aspartate (NMDA) receptor encephalitis is an autoimmune disorder historically associated with anti-NMDA receptor antibodies, predominantly described in young women with ovarian teratomas. This case presents a 4-year-old male with NMDA receptor encephalitis, highlights the importance of early detection and aggressive treatment of movement disorders in pediatric autoimmune encephalitis and contributes to the limited literature on the successful use of tetrabenazine for symptomatic control in children.
J Exp Neurol, 2025, Volume 6, Issue 2, p64-66 | DOI: 10.33696/Neurol.6.109Prophylactic and Therapeutic Modulation of the OGF-OGFr Axis Ameliorates Angiogenesis-associated Pathology in Experimental Autoimmune Encephalomyelitis
Multiple sclerosis (MS) is a chronic autoimmune disease associated with inflammation and neurodegeneration of the central nervous system. MS pathogenesis includes angiogenesis, the formation of new blood vessels from existing vasculature. Angiogenesis facilitates the migration of inflammatory immune cells across the blood-brain barrier in MS. The opioid growth factor (OGF)-opioid growth factor receptor (OGFr) axis is a potential target for limiting angiogenesis in MS.
J Exp Neurol, 2025, Volume 6, Issue 2, p67-75 | DOI: 10.33696/Neurol.6.110Implications of Office-Based Pterygium Surgery for Neurological Practice
The transition of surgical procedures from hospital-based to office-based settings has raised important considerations regarding patient safety, cost-effectiveness, and procedural outcomes. The recent study by Cremers et al. (2025) evaluates the safety and efficacy of office-based pterygium surgery, reporting low complication rates, minimal postoperative pain, and significant cost savings. Of particular neurological interest is the reported case of central retinal artery occlusion following a peribulbar injection containing epinephrine, highlighting the potential vascular risks associated with local anesthetic administration.
J Exp Neurol, 2025, Volume 6, Issue 2, p76-82 | DOI: 10.33696/Neurol.6.111Drug-Induced Peripheral Neuropathy: Focus on Newer Offending Agents
Peripheral neuropathy (PN) is a common neurological disorder resulting from peripheral nerve damage, significantly contributing to morbidity and adversely affecting patients’ quality of life. Drug-induced peripheral neuropathy (DIPN) accounts for 2-4% of cases and typically manifesting as distal, symmetrical sensory polyneuropathy. The growing diversity of medications complicates DIPN diagnosis, often leading to underreporting and mismanagement due to overlapping symptoms with other conditions. This systematic review analyzed DIPN literature up to September 15, 2024, emphasizing both established and emerging neurotoxic drugs.
J Exp Neurol, 2025, Volume 6, Issue 2, p83-104 | DOI: 10.33696/Neurol.6.112TICI 3 Revascularization after Atypical Presentation of Basilar Occlusion in the Setting of a Pediatric Patient
Stroke at a young age is a rarely reported entity whether it is uncommon or overlooked. When it occurs, it can result in lifetime neurological deficits and disabilities for the child and an overwhelming emotional and mental challenge to caregivers. One of the reasons that can lead childhood stroke to be overlooked is an atypical presentation onset with a headache or acute symptomatic seizure. As time is brain, these differences in childhood stroke can lead to a delay in diagnosis and symptoms considered as a stroke mimic.
J Exp Neurol, 2025, Volume 6, Issue 2, p105-110 | DOI: 10.33696/Neurol.6.113Safety of Using Rituximab Therapy During COVID-19 Pandemic
Our modern world is facing extraordinary circumstances while passing through a serious pandemic caused by the novel coronavirus (COVID-19) which may lead to multi-organ system failure & death. Bcell depletion could compromise antiviral immunity, which makes the safety of rituximab use in the COVID19 era unclear.
The Effect of Glucocorticoids on Angiogenesis in the Treatment of Solid Tumors
Glucocorticoids (GCs) are defined by their role in maintaining glucose homeostasis and natural GCs are a class of corticosteroids secreted by the adrenal cortex. Cortisol is the most important natural GC in humans. Cellular cortisol levels are regulated by the tissue-specific metabolic enzymes 11β-hydroxysteroid dehydrogenase 1 and 2 (11β-HSD 1 and 2); 11β-HSD 1 converts inactive cortisone to active cortisol, while 11β-HSD 2 has the opposite function.
Dendorbium Nobile Lindl. Alkaloids Suppress NF-κB and NLRP3 Signaling Pathways to Attenuate Lipopolysaccharide-induced Neuroinflammation
The important immune cells in the brain are called microglia acting as the central junction between neuroinflammation and neurodegenerative diseases. In patients of cognitive disorders and Alzheimer’s disease (AD) animal models, amoebic morphology and inflammatory pathways are activated to release numerous cells in the inflammatory factors by active microglia.
Combination Therapies with Anti-angiogenesis and B7-H3 Blockade in Cancers
Tumor angiogenesis, a hallmark of cancer, is a critical step in the tumorigenesis of solid cancers. The process of tumor angiogenesis is orchestrated by a range of secreted factors, signaling pathways as well as nonendothelial cells.
Integrating Neurology and Psychiatry throughout Educational Curricula for Healthcare Professionals
We recently reviewed the scientific literature linking dopamine agonist pharmacotherapy for neurological disorders to the development of impulsive and compulsive spectrum disorders (ICSDs).
Commentary: Use of BACTRAC Proteomic Database-Uromodulin Protein Expression During Ischemic Stroke
Uromodulin (UMOD) is a glycoprotein expressed by the epithelial cells of the thick ascending limb of Henle’s loop in the kidney. Research has shown that increased uromodulin expression may be associated with lower risk of cardiovascular disease in adults.
Commentary – HIV-Induced Extracranial Carotid Ectasia and Stroke
HIV is a known risk factor for both ischemic and hemorrhagic stroke. Even with the widespread use of antiretroviral therapy, stroke incidence is higher in patients with HIV compared to non-HIV control subjects.
LncZFAS1 Inhibit MPP+-Induced Neuroinflammation Through TXNIP/MIB1 E3 Ubiquitin Ligase/NLRP3 Axis
Neuroinflammation is associated with the occurrence and progression of Parkinson’s disease (PD). Nucleotide-binding domain-like receptor protein-3 (NLRP3) is closely related to pyroptosis in PD-related cells and animal models, such as microglia and SH-SY5Y cells. The novel lncRNA ZFAS1 (LncZFAS1) regulates a variety of signaling pathways and participates in the inflammatory response in various diseases.
Body Iron Overload is a Determining Factor in Brain Damage in Acute Ischemic Stroke
Stroke is the second largest cause of death worldwide, with a world annual mortality incidence of about 5.5 million people, and it is also the leading cause of disability worldwide with 50% of survivors being chronically disabled.
In vivo Neuropathology: Detecting the Neurotoxicity of Candidate Drugs during Early Drug Discovery
Twenty-five percent of small molecules in drug development for CNS indications fail in clinical trials due to complications with neurotoxicity. Unfortunately, this is not discovered earlier. Indeed, it is very infrequent that a drug is flagged for neurotoxic side effects in early drug discovery (1). The consequences are two-fold: 1) loss of time and money in bringing new drugs to market and, 2) the unwitting exposure of patents in clinical trials to the neurotoxic side effects of what otherwise could be a drug candidate that is effectively treating the problem.
Neuroinflammation and Microglial Polarity: Sirolimus Shifts Microglial Polarity to M2 phenotype in a Mouse Model of Tuberous Sclerosis Complex
Tuberous sclerosis complex (TSC) is a neurocutaneous syndrome characterized by systemic hamartomas, including skin and neural symptoms. Many patients exhibit epilepsy, intellectual disability, autism, and other behavioral and neuropsychiatric symptoms, referred to as TSCassociated neuropsychiatric disorders (TAND).
Elevated Opioid Growth Factor Alters the Limbus in Type 1 Diabetic Rats
Ocular surface complications occur in more than 50% of individuals diagnosed with diabetes. The financial and health-related burden of diabetes is increasing annually. Several major ocular complications associated with diabetes involve the limbus. The vascular limbus, adjacent to the avascular cornea, is the source of circulating growth factors, elevated glucose, and cytokines for the cornea.
Atypical Presentation of NMDA Receptor Encephalitis in a 4-year-old Male: A Case Report of Successful Treatment with Rituximab and Tetrabenazine
N-methyl-D-aspartate (NMDA) receptor encephalitis is an autoimmune disorder historically associated with anti-NMDA receptor antibodies, predominantly described in young women with ovarian teratomas. This case presents a 4-year-old male with NMDA receptor encephalitis, highlights the importance of early detection and aggressive treatment of movement disorders in pediatric autoimmune encephalitis and contributes to the limited literature on the successful use of tetrabenazine for symptomatic control in children.
Prophylactic and Therapeutic Modulation of the OGF-OGFr Axis Ameliorates Angiogenesis-associated Pathology in Experimental Autoimmune Encephalomyelitis
Multiple sclerosis (MS) is a chronic autoimmune disease associated with inflammation and neurodegeneration of the central nervous system. MS pathogenesis includes angiogenesis, the formation of new blood vessels from existing vasculature. Angiogenesis facilitates the migration of inflammatory immune cells across the blood-brain barrier in MS. The opioid growth factor (OGF)-opioid growth factor receptor (OGFr) axis is a potential target for limiting angiogenesis in MS.
Drug-Induced Peripheral Neuropathy: Focus on Newer Offending Agents
Peripheral neuropathy (PN) is a common neurological disorder resulting from peripheral nerve damage, significantly contributing to morbidity and adversely affecting patients’ quality of life. Drug-induced peripheral neuropathy (DIPN) accounts for 2-4% of cases and typically manifesting as distal, symmetrical sensory polyneuropathy. The growing diversity of medications complicates DIPN diagnosis, often leading to underreporting and mismanagement due to overlapping symptoms with other conditions. This systematic review analyzed DIPN literature up to September 15, 2024, emphasizing both established and emerging neurotoxic drugs.
Monoamine Oxidase B in Astrocytic GABA Synthesis: A Central Mechanism in Neurodegeneration and Neuroinflammation
Monoamine oxidase B (MAO-B) is a mitochondrial enzyme predominantly expressed in astrocytes, where it plays a crucial role in neurotransmitter metabolism, oxidative stress regulation, and neuroinflammation. In addition to its well-characterized function in the oxidative deamination of monoamines such as dopamine, noradrenaline, and serotonin, MAO-B is increasingly recognized for its involvement in astrocytic GABA synthesis.
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